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Answer 1
- Herpes simplex virus (HSV).
On most occasions, patients with HSV infection have atypical symptoms, such as dull genital pain, nonspecific lesions, vesicles, and (at times) only pelvic and/or localized genital discomfort. In such instances, a patient may not recognize that she is having an outbreak of HSV infection. Because of her presenting symptoms, the case patient is unlikely to have HIV, gonorrhea, chlamydia, or a Candida albicans-related infection.
SUGGESTED READINGS
1. Langenberg AG, Corey L, Ashley RL, et al. A prospective study of new infections with herpes simplex virus type 1 and type 2. Chiron HSV Vaccine Study Group. New Engl J Med 1999;341:1432-8.
2. Scott LL, Sanchez PJ, Jackson GL, et al. Acyclovir suppression to prevent cesarean delivery after first-episode genital herpes. Obstet Gynecol 1996;87:69-73.
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